MEDICARE: YVONNE WILLIAMS LPCC, RPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	CCMH0112781	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427119908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE WILLIAMS LPCC, RPT

Provider Business Mailing Address
First Line	:	10625 PASTIME AVE NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-5004
Country	:	US
Telephone Number	:	505-350-8452
Fax Number	:

Provider Business Practice Location Address
First Line	:	6330 RIVERSIDE PLAZA LN NW STE 260
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-2160
Country	:	US
Telephone Number	:	505-226-3829
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	02/05/2019

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